Organization
FORT WORTH PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANELL IRENE PLOCHECK D.D.S. (OWNER)
(817) 292-5140
Entity
Organization
Contact information
Practice address
6210 JOHN RYAN DR, STE 100, FORT WORTH, TX 76132-4113
(817) 292-5140
Mailing address
6210 JOHN RYAN DR, STE 100, FORT WORTH, TX 76132-4113
(817) 292-5140
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/03/2006
Last updated
10/01/2014
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